Active NPI
Shija Abaham, D.C
- Chiropractor
- West Berlin, NJ
National Provider Identifier
1710907308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00631900
- Practice address
- 545 N Route 73
West Berlin, NJ 08091-9242 - Phone
- (856) 768-1156
- Fax
- (856) 768-1157
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00631900 | NJ | Primary |
Addresses
Primary practice location
545 N Route 73
West Berlin, NJ 08091-9242
Mailing address
55 Foxcroft Way
Mount Laurel, NJ 08054-5733
Phone (856) 768-1156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00631900 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1710907308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FOXCROFT WAY",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080545733",
"telephone_number": "856-768-1156",
"fax_number": "856-768-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 N ROUTE 73",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080919242",
"telephone_number": "856-768-1156",
"fax_number": "856-768-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABAHAM",
"first_name": "SHIJA",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00631900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.